Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $3,665.00 / $12,040.00	Facility		$812.00	$3,665.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,518.44 / $4,325.17 / $8,431.35	Facility		$2,518.44	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $457.63 / $2,868.76 / $2,868.76	Facility		$457.63	$2,868.76	$2,868.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.88 / $569.88 / $569.88	Facility		$569.88	$569.88	$569.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $56.52	Facility	AS	$56.52	$56.52	$56.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,878.44 / $11,500.00 / $26,542.00	Facility		$1,878.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.29 / $849.00 / $849.00	Facility	AS	$115.29	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.20 / $693.20 / $1,072.18	Facility		$492.20	$693.20	$1,072.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.20 / $695.46 / $1,099.56	Facility		$492.20	$695.46	$1,099.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $160.97	Facility	AS	$56.52	$56.52	$160.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00